Factors affecting decision-making in the management of proximal humerus fractures: Where are we now?

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* 1. In which, if any, orthopedic subspecialties have you received fellowship-training?

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* 2. For how many years have you been in practice?

1-4

5-10

11-15

16-20

>20

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* 3. In which US region do you currently practice?

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* 4. Please rank in order of importance the following fracture-specific factors you utilize when deciding to treat a proximal humerus fracture with operative versus nonoperative management
(1 = most important)

Position of tuberosities

N/A

Presence of head-splitting

N/A

Degree of valgus impaction

N/A

Degree of displacement

N/A

Number of parts

N/A

Concomitant dislocation

N/A

Integrity of calcar

N/A

Question Title

* 5. Please rank in order of importance the following patient-specific factors you utilize when deciding to treat a proximal humerus fracture with operative versus nonoperative management
(1 = most important)

Age

N/A

Sex

N/A

Bone quality

N/A

Comorbidities

N/A

Hand dominance

N/A

Functional demands

N/A

Smoking status

N/A

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* 6. What is your arthroplasty procedure of choice for complex proximal humerus fractures?

Hemiarthroplasty

I do not perform shoulder arthroplasty procedures

Reverse total shoulder arthroplasty

I decide based on patient and fracture characteristics

Other (please specify)

Question Title

* 7. Please rank in order of importance the following fracture-specific factors you utilize when deciding to treat a proximal humerus fracture with surgical fixation versus arthroplasty
(1 = most important)

Concomitant dislocation

N/A

Degree of displacement

N/A

Degree of valgus impaction

N/A

Integrity of calcar

N/A

Number of parts

N/A

Position of tuberosities

N/A

Presence of head-splitting

N/A

Question Title

* 8. Please rank in order of importance the following patient-specific factors you utilize when deciding to treat a proximal humerus fracture with surgical fixation versus arthroplasty
(1 = most important)

Age

N/A

Bone quality

N/A

Comorbidites

N/A

Functional demands

N/A

Hand dominance

N/A

Sex

N/A

Smoking status

N/A

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* 9. Do you routinely obtain CT scan prior to deciding between surgical fixation and arthroplasty?

Yes

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* 10. Is your decision between fixation versus arthroplasty for complex fractures influenced by your personal comfort level with either procedure?

No, I am equally comfortable with ORIF and arthroplasty

No, while I am more comfortable with a particular procedure, it does not factor into my decision-making

Yes, I am more comfortable performing ORIF

Yes, I am more comfortable performing arthroplasty

Other (please specify)

Factors affecting decision-making in the management of proximal humerus fractures: Where are we now?

Question Title

* 1. In which, if any, orthopedic subspecialties have you received fellowship-training?

Question Title

* 2. For how many years have you been in practice?

Question Title

* 3. In which US region do you currently practice?

Question Title

* 4. Please rank in order of importance the following fracture-specific factors you utilize when deciding to treat a proximal humerus fracture with operative versus nonoperative management (1 = most important)

Question Title

* 5. Please rank in order of importance the following patient-specific factors you utilize when deciding to treat a proximal humerus fracture with operative versus nonoperative management(1 = most important)

Question Title

* 6. What is your arthroplasty procedure of choice for complex proximal humerus fractures?

Question Title

* 7. Please rank in order of importance the following fracture-specific factors you utilize when deciding to treat a proximal humerus fracture with surgical fixation versus arthroplasty(1 = most important)

Question Title

* 8. Please rank in order of importance the following patient-specific factors you utilize when deciding to treat a proximal humerus fracture with surgical fixation versus arthroplasty(1 = most important)

Question Title

* 9. Do you routinely obtain CT scan prior to deciding between surgical fixation and arthroplasty?

Question Title

* 10. Is your decision between fixation versus arthroplasty for complex fractures influenced by your personal comfort level with either procedure?

* 4. Please rank in order of importance the following fracture-specific factors you utilize when deciding to treat a proximal humerus fracture with operative versus nonoperative management
(1 = most important)

* 5. Please rank in order of importance the following patient-specific factors you utilize when deciding to treat a proximal humerus fracture with operative versus nonoperative management
(1 = most important)

* 7. Please rank in order of importance the following fracture-specific factors you utilize when deciding to treat a proximal humerus fracture with surgical fixation versus arthroplasty
(1 = most important)

* 8. Please rank in order of importance the following patient-specific factors you utilize when deciding to treat a proximal humerus fracture with surgical fixation versus arthroplasty
(1 = most important)